| NPI | 1548290182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 36715) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A88434) |
| 207X00000X Orthopaedic Surgery (Licence: SC 22158) | |
| 207X00000X Orthopaedic Surgery (Licence: MN 48951) | |
| 207X00000X Orthopaedic Surgery (Licence: CA AFE88434) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-06-20 |